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 Simple Radiography 
Cheaper 
Accuracy is low 
Only bone not the brain is visualized
 CT Scan/ Computerized Tomography 
 Magnetic Resonance Imaging 
 CT Angiography 
 Nuclear medicine__ PET, SPECT 
 Ultrasound__ mainly for neonates 
 INTERVENTIONAL RADIOLOGY
 CT imaging uses X-rays to produce cross 
sectional images/slices of the brain. 
 As x-rays pass through the body they are 
absorbed or attenuated differently. These 
varying attenuation value / CT value give 
information on normal and abnormal structure in 
the brain and spine producing an image
 CT Scanner is work horse of neuroimaging and is 
the imaging method of choice 
.Trauma 
. Cerebro- vascular accidents 
.Epilepsy/ Fit/ Seizure 
. Altered consciousness 
. Pyrexia of unknown origin 
.Intracranial mass/ Raised ICT
 CT plays a critical role in the early screening of 
diagnosis of many brain diseases in spine 
imaging 
and in orbital facial disease
 Avoid screening in pregnancy 
 Allergy to contrast 
 Renal impairment 
 Hypothyrodism 
 Phaeochromocytoma 
 Myaesthenia gravis
 Radiation dose 
 Reaction to Contrast 
eg. Average effective dose chest x-ray is about 20mSV, 
brain CT 2200mSV which is close to amount of back 
ground radiation that an average person receives in a 
year from atmosphere even if they don’t have any 
diagnostic imaging of any kind 2400mSV
 Plain : NCCT 
 Contrast: CECT 
contrast is not used in case of TRAUMA and CVA 
contrast goes to vascular and viable tissue
 FRACTURE
 EXTRADURAL 
HEMATOMA
 SUBDURAL 
HEMATOMA
BRAIN ABSCESS
BRAIN MASS
INFARCTION
HAEMORRHAGE
NEUROCYSTICERCOSIS
HYDROCEPHALUS
ATROPHY
 MRI uses a strong magnetic field ( not x-ray) to 
create images of the body 
 Radiofrequency pulse(RF) are generated to 
interrogate the hydrogen atoms that make up 
the human body 
 Powerful computer process the returning RF 
signal 
to form medical images 
 As a rule MRI produces high resolution images 
in multiple planes
 Depending on the coils and pulse sequence 
selected MRI examination can be tailored to 
yield the desired diagnostic information 
Pulse sequence: T1, T2,DW, STIR, etc……
 MRI is used extensively for the study of blood 
vessel flow dynamics , 3D volume rendering and 
stereotactic surgical guidance
 Stroke 
 Infection / Inflammation 
 Tumour 
 Multiple sclerosis 
 Dementia 
 Post trauma 
 Metabolic disorder 
 Congenital disorder 
 Internal auditory canal pathology 
 Nerve palsy 
 Spinal cord lesion
 Abdomen/ Pelvis 
 Musculoskeletal tissue 
 Cardiac__ Ischaemia, Tumour ,Infiltrative CCM 
Vascular study 
 Obstetrics__ Fetal anomaly esp cerebral 
anomaly 
no risk of radiation
 Pacemaker, metalic body, implant, aneurysmal 
repair etc
 No known side effect
 Research make use of cutting edge 
technologies to 
visualize not only anatomical images but also 
early 
changes that occur in brain function before 
there 
is any visible abnormality in structural imaging 
eg. Functional MRI include diffusion perfusion and 
task activation research pulse sequence
CEREBROVASCULAR 
ACCIDENT
VERTEBRAL DISLOCATION
BACKACHE
DIGITAL SUBSTRACTION ANGIOGRAPHY 
 It uses X-rays and injected contrast media to 
demonstrate the arteries and vein in real time . 
 It is NEUROANGIOGRAPHY when technique is 
applied to the vessel in brain 
 To see the blood vessel clearer DSA uses 
computers to remove / substract bone and other 
structures so that blood vessels stand out
 To study the architecture of blood vessels 
 Detecting and diagnosing vascular anomaly 
 Bleeding in brain and spinal cord 
 Narrowing / spasm of blood vessel 
 Stroke /Paralysis/ Hemiplegia 
 Mass
RENAL
CARDIAC
 Nuclear Medicine uses very small amount of 
radioactive material called 
Radiopharmaceuticals 
 
 Isotopes are specific for the part, injected or 
given orally 
 Isotopes are distributed throughout the blood 
stream and are attracted to specific organs/ 
tissue
 Isotope in the tissue emit gamma radiation which 
is detected and counted by gamma camera 
 The processed data over time provides 
functional and anatomical information about the 
part being imaged
 BRAIN SPECT__ single photon emission tomography for 
cerebral ischaemia, epilepsy 
 MIBI HEART PERFUSION SCAN__For Ischaemic heart 
disease 
 BONE SCAN__ For cancer, stress Fracture 
 THYROID UPTAKE SCAN__ For Thyroid nodule 
 V/Q SCAN__ For Pulmonary embolism
SINGLE PHOTON EMISSION TOMOGRAPHY 
 Mapping of Dopamine transport system in 
movement disorder like Parkinsonism 
 Specific tracer working at neuromuscular 
junction
 It is expensive 
 Positron tracer like carbon, nitrogen , oxygen are 
used for focal brain metabolism 
 Main use in ONCOLOGY
THYROID
BONE
SPECT
 Neonatal head for__Big head/Hydrocephalus 
Hypoxia 
Haemorrhage 
Birth trauma 
Subdural Haematoma 
Fits 
Congenital anomaly
HYDROCEPHALUS
 It is the technique used to treat blood vessel 
disease, tumour , clot/ thrombus etc in the brain 
and spinal canal 
 Procedure is like angiography and then pushing 
the therapeutic agent like Thrombolytic agent in 
case of Infarction
  
Dr Rekha Khare

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Neuroradiology slideshare

  • 1.  Simple Radiography Cheaper Accuracy is low Only bone not the brain is visualized
  • 2.  CT Scan/ Computerized Tomography  Magnetic Resonance Imaging  CT Angiography  Nuclear medicine__ PET, SPECT  Ultrasound__ mainly for neonates  INTERVENTIONAL RADIOLOGY
  • 3.  CT imaging uses X-rays to produce cross sectional images/slices of the brain.  As x-rays pass through the body they are absorbed or attenuated differently. These varying attenuation value / CT value give information on normal and abnormal structure in the brain and spine producing an image
  • 4.  CT Scanner is work horse of neuroimaging and is the imaging method of choice .Trauma . Cerebro- vascular accidents .Epilepsy/ Fit/ Seizure . Altered consciousness . Pyrexia of unknown origin .Intracranial mass/ Raised ICT
  • 5.  CT plays a critical role in the early screening of diagnosis of many brain diseases in spine imaging and in orbital facial disease
  • 6.  Avoid screening in pregnancy  Allergy to contrast  Renal impairment  Hypothyrodism  Phaeochromocytoma  Myaesthenia gravis
  • 7.  Radiation dose  Reaction to Contrast eg. Average effective dose chest x-ray is about 20mSV, brain CT 2200mSV which is close to amount of back ground radiation that an average person receives in a year from atmosphere even if they don’t have any diagnostic imaging of any kind 2400mSV
  • 8.  Plain : NCCT  Contrast: CECT contrast is not used in case of TRAUMA and CVA contrast goes to vascular and viable tissue
  • 19.  MRI uses a strong magnetic field ( not x-ray) to create images of the body  Radiofrequency pulse(RF) are generated to interrogate the hydrogen atoms that make up the human body  Powerful computer process the returning RF signal to form medical images  As a rule MRI produces high resolution images in multiple planes
  • 20.  Depending on the coils and pulse sequence selected MRI examination can be tailored to yield the desired diagnostic information Pulse sequence: T1, T2,DW, STIR, etc……
  • 21.  MRI is used extensively for the study of blood vessel flow dynamics , 3D volume rendering and stereotactic surgical guidance
  • 22.  Stroke  Infection / Inflammation  Tumour  Multiple sclerosis  Dementia  Post trauma  Metabolic disorder  Congenital disorder  Internal auditory canal pathology  Nerve palsy  Spinal cord lesion
  • 23.  Abdomen/ Pelvis  Musculoskeletal tissue  Cardiac__ Ischaemia, Tumour ,Infiltrative CCM Vascular study  Obstetrics__ Fetal anomaly esp cerebral anomaly no risk of radiation
  • 24.  Pacemaker, metalic body, implant, aneurysmal repair etc
  • 25.  No known side effect
  • 26.  Research make use of cutting edge technologies to visualize not only anatomical images but also early changes that occur in brain function before there is any visible abnormality in structural imaging eg. Functional MRI include diffusion perfusion and task activation research pulse sequence
  • 30. DIGITAL SUBSTRACTION ANGIOGRAPHY  It uses X-rays and injected contrast media to demonstrate the arteries and vein in real time .  It is NEUROANGIOGRAPHY when technique is applied to the vessel in brain  To see the blood vessel clearer DSA uses computers to remove / substract bone and other structures so that blood vessels stand out
  • 31.  To study the architecture of blood vessels  Detecting and diagnosing vascular anomaly  Bleeding in brain and spinal cord  Narrowing / spasm of blood vessel  Stroke /Paralysis/ Hemiplegia  Mass
  • 32. RENAL
  • 34.  Nuclear Medicine uses very small amount of radioactive material called Radiopharmaceuticals   Isotopes are specific for the part, injected or given orally  Isotopes are distributed throughout the blood stream and are attracted to specific organs/ tissue
  • 35.  Isotope in the tissue emit gamma radiation which is detected and counted by gamma camera  The processed data over time provides functional and anatomical information about the part being imaged
  • 36.  BRAIN SPECT__ single photon emission tomography for cerebral ischaemia, epilepsy  MIBI HEART PERFUSION SCAN__For Ischaemic heart disease  BONE SCAN__ For cancer, stress Fracture  THYROID UPTAKE SCAN__ For Thyroid nodule  V/Q SCAN__ For Pulmonary embolism
  • 37. SINGLE PHOTON EMISSION TOMOGRAPHY  Mapping of Dopamine transport system in movement disorder like Parkinsonism  Specific tracer working at neuromuscular junction
  • 38.  It is expensive  Positron tracer like carbon, nitrogen , oxygen are used for focal brain metabolism  Main use in ONCOLOGY
  • 40. BONE
  • 41. SPECT
  • 42.  Neonatal head for__Big head/Hydrocephalus Hypoxia Haemorrhage Birth trauma Subdural Haematoma Fits Congenital anomaly
  • 44.  It is the technique used to treat blood vessel disease, tumour , clot/ thrombus etc in the brain and spinal canal  Procedure is like angiography and then pushing the therapeutic agent like Thrombolytic agent in case of Infarction
  • 45.   Dr Rekha Khare